Strawberry gingivitis as the first presenting sign of Wegener's granulomatosis: report of a case

Siar, C.H.; Yeo, K.B.; Nakano, K.; Nagatsuka, H.; Tsujigiwa, H.; Tomida, M.; Ng, K.H.; Kawakami, T. (2011) Strawberry gingivitis as the first presenting sign of Wegener's granulomatosis: report of a case. European Journal of Medical Research, 16 (7). pp. 331-334. ISSN 0949-2321

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    Wegener's granulomatosis is a rare multi-system disease characterized by the classic triad of necrotizing granulomas affecting the upper and lower respiratory tracts, disseminated vasculitis and glomerulonephritis. Oral lesions as a presenting feature are only encountered in 2 of these cases. Hyperplastic gingival lesions or strawberry gingivitis, is a characteristic sign of Wegener's granulomatosis. The latter consists of reddish-purple exophytic gingival swellings with petechial haemorrhages thus resembling strawberries. Recognition of this feature is of utmost importance for timely diagnosis and definitive management of this potentially fatal disease. A case of strawberry gingivitis as the first presenting sign of Wegener's granulomatosis affecting a 50-year-old Malay male is reported here. The differential diagnosis of red lesions that may present in the gingiva is discussed.

    Item Type: Article
    1. Siar, C.H.
    2. Yeo, K.B.
    3. Nakano, K.
    4. Nagatsuka, H.
    5. Tsujigiwa, H.
    6. Tomida, M.
    7. Ng, K.H.
    8. Kawakami, T.
    Journal or Publication Title: European Journal of Medical Research
    Additional Information: ISI Document Delivery No.: 802GO Times Cited: 0 Cited Reference Count: 17 Cited References: Bhatt V, 2009, BRIT J ORAL MAX SURG, V47, P500, DOI 10.1016/j.bjoms.2009.02.012 COHEN RE, 1990, J PERIODONTOL, V61, P705 EUFINGER H, 1992, INT J ORAL MAX SURG, V21, P50, DOI 10.1016/S0901-5027(05)80454-0 Fletcher CD, 2002, PATHOLOGY GENETICS T Jaiarj Nathinee, 2003, J Mass Dent Soc, V52, P16 Lager I, 2003, ORAL SURG ORAL MED O, V96, P701, DOI 10.1016/S1079-2104(03)00370-6 Lilly J, 1998, ORAL SURG ORAL MED O, V85, P153, DOI 10.1016/S1079-2104(98)90418-8 Lourenco Silvia Vanessa, 2006, Acta Derm Venereol, V86, P90 Manchanda Y, 2003, J AM ACAD DERMATOL, V49, P335, DOI 10.1067/S0190-9622(03)00556-5 NAPIER SS, 1993, BRIT DENT J, V175, P327, DOI 10.1038/sj.bdj.4808316 Ponniah I, 2005, ORAL SURG ORAL MED O, V100, P265, DOI 10.1016/j.tripleo.2005.04.018 Rashmi MS, 2008, QUINTESSENCE INT, V39, P507 Ruokonen H, 2009, EUR J INTERN MED, V20, P651, DOI 10.1016/j.ejim.2009.04.007 Savage NW, 2010, AUST DENT J, V55, P55, DOI 10.1111/j.1834-7819.2010.01199.x Shiboski CH, 2002, ORAL SURG ORAL MED O, V94, P707, DOI 10.1067/moe.2002.129178 Siar CH, 2009, EUR J MED RES, V14, P315 Stewart C, 2007, J AM DENT ASSOC, V138, P338 Siar, C. H. Yeo, K. B. Nakano, K. Nagatsuka, H. Tsujigiwa, H. Tomida, M. Ng, K. H. Kawakami, T. I holzapfel verlag gmbh Munich
    Uncontrolled Keywords: Wegener's granulomatosis strawberry gingivitis oral lesion systemic disease oral manifestations lesions
    Subjects: R Medicine > RK Dentistry
    Divisions: Faculty of Dentistry > Dept of Oral Pathology & Oral Medicine & Periodontology
    Depositing User: Ms Nursyafiqah Abd Malek
    Date Deposited: 10 Jan 2013 08:15
    Last Modified: 10 Jan 2013 08:15

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